Jakell Thomas, DIRECTOR

NPI #1215773122 in Perry, Georgia

Provider Information

NPI Number: 1215773122
Entity Type: Individual
Name: Jakell Thomas, DIRECTOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Credential: DIRECTOR
Enumeration Date: Jul 1, 2024
Last Updated: Jul 1, 2024

Practice Location

Address: 103 KARIS CT
City: Perry
State: Georgia
ZIP Code: 31069-4878
Phone: (229) 460-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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